Contract Details
A Physiotherapy Associates Company
Facility name
Rehab Associates - Selma
Provider ID
P000002363
NPI
1629087150
Tax ID
721379381
Effective Date
2/1/2006
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1391 East Highland Avenue Suite 103
Selma, AL 36703
United States
County
Dallas
Phone
3348756110 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address